﻿<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="utf-8" />
    <title>PROJECT BUDGET</title>
    <link rel="stylesheet" href="{STYLE}?v=1,32." type="text/css" media="screen" />
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<body>
    <div class="container-fluid">
        <div class="row-fluid">
            <div class="span12">
                <table width="100%" align="center" cellspacing="0" cellpadding="0" border="0" style="border-bottom: 1px solid Grey;">
                    <tbody>
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                            <td style="width: 20%;" rowspan="2">
                                <img src="{LOGO1}" alt="" />
                            </td>
                            <td align="center">
                                <strong><b style="font-size: x-large;">WAYBILL</strong>
                            </td>
                            <td style="width: 20%;" rowspan="2" align="right">
                                <img src="{LOGO2}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td align="center">
                                <strong>No.<b style="font-size: medium; color: Red;"> &nbsp; {REFNO}</b></strong>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <!--<table class="default table">-->
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1"
                    style="border-bottom: 1px solid Grey;">
                    <tr>
                        <th colspan="4" align="left">
                            &nbsp;&nbsp; TRANSACTION DETAILS
                        </th>
                    </tr>
                    <tr>
                        <th style="width: 25%; text-align: left;">
                            Origin (Issuing Office)
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Origin (Warehouse)
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Destination (Location)
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Destination (Warehouse)
                        </th>
                    </tr>
                    <tr>
                        <td style="width: 25%; text-align: center;">
                            {ORIGIN-OFFICE}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {ORIGIN-WH}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {DESTINATION-NAME}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {DESTINATION-WH}
                        </td>
                    </tr>
                    <tr>
                        <th style="width: 25%; text-align: left;">
                            Date of Loading
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Date of Dispatch
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Consignee
                        </th>
                        <th style="width: 25%; text-align: left;">
                            Consignee (contact no.)
                        </th>
                    </tr>
                    <tr>
                        <td style="width: 25%; text-align: center;">
                            {LOADING-DATE}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {DISPATCH-DATE}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {CONSIGNEE}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {CONSIGNEE-CONTACT}
                        </td>
                    </tr>
                    <tr>
                        <th style="width: 25%; text-align: left;">
                            Warehouse Release No.
                        </th>
                        <th style="width: 25%; text-align: left;">
                            DRC Vehicle Reg. No.
                        </th>
                        <th style="width: 25%; text-align: left;">
                            DRC vehicle odometer (km)
                        </th>
                        <th style="width: 25%; text-align: left;">
                            DRC vehicle call sign/contact no.
                        </th>
                    </tr>
                    <tr>
                        <td style="width: 25%; text-align: center;">
                            {WH-NO}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {DRC-VEHICLE-NO}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {DRC-VEHICLE-KM}
                        </td>
                        <td style="width: 25%; text-align: center;">
                            {VEHICLE-CONTACT}
                        </td>
                    </tr>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1"
                    style="border-bottom: 1px solid Grey;">
                    <thead>
                        <tr>
                            <th colspan="8" align="left">
                                &nbsp;&nbsp; LOADING/DISPATCH DETAILS
                            </th>
                        </tr>
                        <tr>
                            <th style="width: 10%; text-align: center;">
                                Item Serial No
                            </th>
                            <th style="width: 25%; text-align: center;">
                                Equipment/item/Commodity
                            </th>
                            <th style="width: 10%; text-align: center;">
                                Unit
                            </th>
                            <th style="width: 10%; text-align: center;">
                                Weight (Kg)
                            </th>
                            <th style="width: 10%; text-align: center;">
                                Qty. Dispatched
                            </th>
                            <th style="width: 10%; text-align: center;">
                                Qty.Received
                            </th>
                            <th style="width: 10%; text-align: center;">
                                Qty. Damaged
                            </th>
                            <th style="width: 15%; text-align: center;">
                                Remarks
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {DETAILS}</tbody>
                    <tfoot>
                        <tr>
                            <th colspan="8" align="left">
                                &nbsp;&nbsp; LOADING/DISPATCH ADDITIONAL REMARKS
                            </th>
                        </tr>
                        <tr>
                            <td colspan="8" align="left">
                                {LOADING-REMARKS}
                            </td>
                        </tr>
                    </tfoot>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1"
                    style="border-bottom: 1px solid Grey;">
                    <thead>
                        <tr>
                            <th colspan="2" align="left">
                                &nbsp;&nbsp; ISSUEING OFFICE/WAREHOUSE - CERTIFICATION OF EQUIPMENT/ITEMS/COMMODITIES
                                LOADED
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td style="text-align: left; font-style: italic; width: 50%;">
                                <i><strong>DRC/DDG </strong>Equipment/items/commodities issued and received by</i>
                            </td>
                            <td style="text-align: left; width: 50%;">
                                <strong>Driver (name):</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; {DRIVER-NAME}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: left;">
                                <strong>Staff Name:</strong> &nbsp; {ISSUER-STAFF}
                            </td>
                            <td style="text-align: left;">
                                <strong>Vehicle Reg. No.:</strong>&nbsp; {VEHICLE-REG-NO}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: left;">
                                <strong>Staff Title:</strong> &nbsp;&nbsp;&nbsp;&nbsp; {ISSUER-TITLE}
                            </td>
                            <td style="text-align: left;">
                                <strong>Company:</strong> &nbsp; {TRANSPORT-COMPANY} &nbsp;&nbsp;&nbsp;&nbsp; <strong>
                                    License/ID No:</strong> &nbsp; {DRIVER-LICENSEE}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: center;">
                                <p style="text-align: left; font-size: 12px;">
                                    I hereby certify the loading of the commodities as described above.</p>
                                <img src="{ISSUER-SIGNATURE}" alt="" style="max-width: 100px;" />
                                <hr />
                                <i>Please endorse this section with an official DRC/DDG stamp</i>
                            </td>
                            <td style="text-align: left;">
                                <p style="text-align: left; font-size: 12px;">
                                    On behalf of the Transporter I hereby certify the receipt of the commodities as
                                    described above in good condition, unless otherwise endorsed here above.
                                </p>
                                <br />
                                <br />
                                <br />
                                <hr />
                                <i>Please endorse this section with an official Company stamp</i>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table class="goods-detail" align="center" cellspacing="0" cellpadding="0" border="1"
                    style="border-bottom: 1px solid Grey;">
                    <thead>
                        <tr>
                            <th colspan="2" align="left">
                                &nbsp;&nbsp; RECEIVING OFFICE - CERTIFICATION OF EQUIPMENT/ITEMS/COMMODITIES RECEIVED
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td style="text-align: left; width: 50%;">
                                <strong>Received in Location:</strong> {DESTINATION-LOC}
                            </td>
                            <td style="text-align: left; width: 50%;">
                                <strong>Arrival Date:</strong> {ARRIVAL-DATE}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: left; vertical-align: top;">
                                <strong>Received by (name):</strong> {RECEIVED-BY}
                            </td>
                            <td style="text-align: left; vertical-align: top;">
                                <strong>DRC vehicle odometer (km):</strong> {RECEIVED-KM}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: left; vertical-align: top;">
                                <strong>Title:</strong> {RECEIVED-BY-TITLE}
                            </td>
                            <td style="text-align: left; vertical-align: top;">
                                <strong>DRC vehicle (total distance in Km):</strong> {RECEIVED-TOTAL-DISTANCE}
                            </td>
                        </tr>
                        <tr>
                            <td style="text-align: center; vertical-align: top;">
                                <p style="text-align: left; font-size: 12px;">
                                    On behalf of the consignee I hereby certify receipt of the Commodities loaded, unless
                                    endorsed as above.
                                </p>
                                <img src="{RECEIVEDBY-SIGNATURE}" alt="" style="max-width: 100px;" />
                                <hr />
                                <i>Please endorse this section with an official DRC/DDG stamp</i>
                            </td>
                            <td style="text-align: center; vertical-align: top;">
                                <p style="text-align: left; font-size: 12px;">
                                    On behalf of the transport Contractor, I hereby certify delivery of the commodities
                                    loaded, unless endorsed as above.
                                </p>
                                <br />
                                <br />
                                <br />
                                <br />
                                <hr />
                                <i>Please endorse this section with an official Company stamp</i>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
    </div>
</body>
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